ARISE RECOVERY CENTERS OF AMERICA LLC NPI 1558883876

NPI Information

NPI: 1558883876
Provider Name: ARISE RECOVERY CENTERS OF AMERICA, LLC
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
CLIA Number: 45D2153375
Address: 2535 E SOUTHLAKE BLVD STE 200
SOUTHLAKE, TX
ZIP 76092
Phone: (214) 504-6670

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NPI Details

ARISE RECOVERY CENTERS OF AMERICA, LLC is a rehabilitation and substance use disorder clinic center in Southlake, TX. ARISE RECOVERY CENTERS OF AMERICA, LLC NPI is 1558883876. The provider is registered as an organization entity type.

The provider's business location address is:

2535 E SOUTHLAKE BLVD STE 200
SOUTHLAKE, TX
ZIP 76092-629
Phone: (214) 504-6670

The provider's authorized official is Danny Andino .
The authorized official title is Ceo and has the following contact phone number (214) 504-6670.

The CLIA number assigned to this NPI record is 45D2153375 - other - outpatient treatment crt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2017 and was last updated on 2/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes
3	276400000X	Rehabilitation, Substance Use Disorder Unit		No
4	324500000X	Substance Abuse Rehabilitation Facility		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4194-4195	OTHER	TEXAS	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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